Jeremy Ridenour, PsyD, ABPP
; Dan Knauss, PsyD, ABPP
; and Alice Pozzi, PsyD, authored the book chapter "Mentalization-Based Treatment for Schizotypal Personality" in A Dimensional Approach to Schizotypy
(eds. Cheli, S., Lysaker, P.H.).
"Although mentalization-based treatments have been applied to persons diagnosed with schizophrenia spectrum disorders, there is minimal literature on how mentalization-based treatment might be adapted to persons with schizotypal personality disorder (SPD). Persons with SPD often struggle to reflect upon their own mental states and the mental states of others, which can result in social anxiety, confusion, and interpersonal withdrawal. Such problems in mentalization might also be linked to early experiences of adversity and emotional abuse, experiences that are commonly reported by persons with SPD. In this chapter, some key areas of vulnerability for persons with SPD will be outlined, including impaired mentalization, emotional deficits, and social anxieties that can be addressed in the context of a secure therapeutic relationship. The authors will provide brief clinical vignettes to illustrate mentalization-informed techniques that can boost reflective functioning, enhance emotional awareness, and reduce social anxiety and confusion that can interfere with the development of meaningful interpersonal connections."